Four hand massage is a type of massage therapy which involves two therapists working simultaneously, creating a choreographed massage. There are a number of different styles of four hand massage to choose from, with most spas explaining the options to their patrons so that they can select the style which works best for them. As a general rule, four hand massage is more expensive than other forms of massage, since two therapists must be compensated for their time and skill. Not all spas offer this service; if it is something that you want, you may need to ask around to find a spa which performs it.

During the most classic form of four hand massage, the therapists mirror each other, with one therapist taking the lead while the other follows. The therapists usually use Swedish style massage techniques, combining long, slowing strokes with other techniques which are designed to relax the body. Typically clients can request special attention for one area of the body, such as the back or legs, and the therapists can tailor the session to the needs of the client.

In other cases, each therapist may focus on a specific area of the body during a four hand massage, with one working on the upper body and one working on the lower body. Four hand massage can also combine massage techniques, with one therapist doing reflexology while another gives a Swedish style massage, for example. Generally, energy work such as reiki is not incorporated into a four hand massage, because the environment is not calm enough.

Many people enjoy four hand massage because they find it extremely relaxing, and they enjoy the sensation of being pampered by two massage therapists. It can take some time to get used to, as the sensation is very different from regular massage and it requires good communication between the client and the therapists. People who are very modest may also find four hand massage uncomfortable, as the draping tends to be more limited, although modest clients may choose to wear undergarments or even clothes, if desired.

When you find a spa which offers four hand massage, you may want to take time to learn about the therapists who offer the service, to find out about where they studied and what their approach to massage involves. It is also a good idea to ask for recommendations from friends to find a good massage therapy studio or spa, and don't be afraid to ask the staff lots of questions to help you prepare to get your massage.